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| Insurance Hell This is where any insurance-related matters are found. Medicare, worker's compensation, appeals, denials are here. Questions, comments, insights, wins and losses on any insurance are all here! Note: This is a new forum and includes posts for 2007 only. Older ones are in the Big File. |
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#1
05-12-2008, 02:22 PM
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I am fighting with BCBS in PA to get just a single level C5/C6 ProDisk-C replacement. Although the C6/C7 disk is also pretty bad, my doctor is not as concerned at this time. I need document approval letters from BC anywhere to submit to my insurace carrier to help with my appeal. Can anyone help? Thanks
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#2
05-12-2008, 05:31 PM
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Sherry, I'd be happy to help. Let's catch up later this week by phone. : )
PS: Please insert a signature, per the welcome email. Also, please read the terms of service carefully.
__________________
"Harrison" info (at) adrsupport.org Founder & Moderator of ADRSupport & APF Arthroplasty Patient Foundation, a 501 (c)(3) Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Fell on my ***winter 2003, Canceled fusion April 6 2004 Cell: 617-314-5900
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#3
06-09-2008, 04:15 PM
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Hi Harrison,
I would also appreciate copies of approval letters for my hearing with Blue Cross of CA. I have already had the ADR surgery with ProDiscs at L4-S1. BC has denied me twice so I am asking for a hearing to keep fighting. Please let me know the best way to send the copies. Thank you, Cali
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#4
06-19-2008, 04:29 PM
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My name is Sandy Wingfield. Two specialists have said that I need disk replacement. BCBS of NE has denied coverage. I too need copies of approval letters for my appeal.
Sandy Wingfield
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MVA 2005 Herniated disk C5-C6 Fighting with BCBS for ADR and State Farm
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#5
06-30-2008, 04:19 PM
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I need copies of approval letters for BC of CA and BC/BS of NY please - anyone.
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ADR candidate, L4-5; L5-S1; L5-S1 pain generator; disk bulges L3-4; L4-5; L5-S1; DDD L2-S1/may need ADR higher levels. Some spondy. W/get facet injections again and discogram if want surgery. MRIs show "moderate facet degeneration" - nervous about AD
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#6
06-30-2008, 08:52 PM
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Richard,
I would also love copies of any appeal letters, I am embarking on my litagstion also. Any help would be appreciated. Phylly
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Cervical fusion C4-C6 2002 Fall on ice on tailbone April 2005 Sciatica and back pain ever since Diagnosed DDD L4-S1 Discogram positive at L4-S1 Prodisc ADR surgery L4-L5-S1 November 2007 Dr. Delamarter Decompression Foraminotomy L4-S1 July 08 Dr. D. for Sciatica
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#7
07-01-2008, 06:54 PM
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Hi all,
A while back, I suggested that everybody consolidate their resources - and offered to receive successful appeals. Is that still a good idea? I think it is, so I'll ask people to send them to me. However, why should people do this? How can we incent them to help others like you? This takes me a lot of time. So let me know if there are ways to streamline the process.
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"Harrison" info (at) adrsupport.org Founder & Moderator of ADRSupport & APF Arthroplasty Patient Foundation, a 501 (c)(3) Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Fell on my ***winter 2003, Canceled fusion April 6 2004 Cell: 617-314-5900
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#8
07-01-2008, 09:20 PM
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Richard,
In terms of streamlining a process, (because I know handling that much info is a lot of work!) and I do not know if this is "kosher", but what if people take out the personal info on their appeals and you post them on one of the sites as attachments? Are you able to have that capacity on this site? (way too long a sentence and I hope it made sense) Phylly
__________________
Cervical fusion C4-C6 2002 Fall on ice on tailbone April 2005 Sciatica and back pain ever since Diagnosed DDD L4-S1 Discogram positive at L4-S1 Prodisc ADR surgery L4-L5-S1 November 2007 Dr. Delamarter Decompression Foraminotomy L4-S1 July 08 Dr. D. for Sciatica
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